社区护士对德国护理需求的概念挑战的看法:一种建构主义的理论研究
Miriam Laepple1, Margitta B Beil-Hildebrand2
1University of Koblenz - Faculty 1: Educational Sciences, Institute of Nursing Science, Koblenz, Rhineland-Palatinate, Germany.
Policy, politics & nursing practice
|January 24, 2024
概括
德国的社区护士面临着由于法定长期护理保险 (LTCI) 对护理需求的定义而面临的职业家庭关系导航的挑战. 这些挑战影响了护理服务和护理专业的未来作用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理 护理 护理
- 社会科学 社会科学 社会科学
背景情况:
- 德国的护理服务受法定长期护理保险 (LTCI) 的法律定义和评估工具的约束.
- 社区护理设置进一步受到州法律和护理基金与提供者之间的谈判的监管.
- 在社区环境中,LTCI定义对护士与病人互动的影响尚不清楚.
研究的目的:
- 探索社区护士面临的挑战,与护理护理需求的法律定义有关.
- 了解这些挑战如何影响职业家庭关系中的互动.
主要方法:
- 在德国对社区护士进行了22次以问题为中心的采访.
- 分析采访数据,使用构造主义立足理论方法.
主要成果:
- 确定了职业家庭关系中的谈判过程中的核心挑战.
- 关键的构造包括接近/距离的相互作用,倡导/承担责任的提交,以及伦理/技术统治.
- 这些动态凸显了社区护理实践中的复杂性.
结论:
- 这些发现引发了关于护士职业在社区护理中的当前和未来作用的重要问题.
- 讨论了设计护理支持系统的含义,以培养高级护士从业人员和社区卫生护士.
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